Active NPI
Heather Roberson Hollingsworth, RN
- Gerontology Nurse Practitioner
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 905812
- Practice address
- 2124 14TH St
Meridian, MS 39301-4040 - Phone
- (601) 553-6000
- Fax
- (601) 703-0124
- NPI assigned
- Apr 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 905812 | MS | |
| Gerontology Nurse Practitioner | 363LG0600X | 905812 | MS | Primary |
Addresses
Primary practice location
2124 14TH St
Meridian, MS 39301-4040
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (601) 553-6000
Other practice location 1
6280 Lon Goodman Rd
Meridian, MS 39301-9555
Phone (601) 938-3179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221226000184 | AL | Practitioner - Nurse Practitioner | 7416327085 | Reassigns benefits to 1 organization |
| I20250502000927 | MS | Practitioner - Nurse Practitioner | 7416327085 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospitalist Services of Meridian PADumont Physician Services LLCUniversity of Alabama Health Services Foundation, PC
Practice addresses (Care Compare)
2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000
619 19TH St S
Birmingham, AL 35246-0001
Phone (205) 934-3460
Hospital & facility affiliations
- Anderson Regional Medical Center
- University of Alabama Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905812 | MS | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Clinic of Meridian, P.a. | Current | Accepting new patients | |
| Hospitalist Services of Meridian PA | Current | Accepting new patients | |
| Anderson Physician Alliance, Inc. | Current | Accepting new patients | |
| Dumont Physician Services LLC | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients |
Locations
1802 6th Ave S
Birmingham, AL 35233
Phone (205) 934-5105
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
619 19th St S
Birmingham, AL 35249
2124 14th St
Meridian, MS 39301
Phone (601) 483-8811
1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322
4728 Spottswood Ave
Memphis, TN 38117
Phone (901) 203-0080
Interoperability endpoints
- hhollingsworth@direct.uabmedicine.org
- hhollingsworth683559@direct.bmhcc.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
AL
-
- Oral and Maxillofacial Surgery (Dentist)
- Birmingham, AL
- NPI 1720761554
-
- Clinical Medical Laboratory
- Birmingham, AL
- NPI 1366638330
-
- Prosthetic/Orthotic Supplier
- Birmingham, AL
- NPI 1841380086
-
- Urology Physician
- Meridian, MS
- NPI 1912088295
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
Hospital
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1366022246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202177",
"telephone_number": "601-553-6000",
"fax_number": "601-703-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 14TH ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014040",
"telephone_number": "601-553-6000",
"fax_number": "601-703-0124"
}
],
"practiceLocations": [
{
"address_1": "6280 Lon Goodman Rd",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "MS",
"postal_code": "393019555",
"country_code": "US",
"telephone_number": "601-938-3179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLINGSWORTH",
"first_name": "HEATHER",
"middle_name": "ROBERSON",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MS",
"license": "905812",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MS",
"license": "905812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.